| NPI | 1649975657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEORGE DEBUSK Founder And Owner 857-352-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 208000000X Pediatrics | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 208600000X Surgery | |
| 2086S0127X Surgery, Trauma Surgery | |
| 209800000X Legal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364SX0106X Clinical Nurse Specialist, Occupational Health | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |